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BLD2022-0408+Application+3.30.2022_9.45.11_AM+2769945CITY OF EDMONDS Sign Application #1116217 - HAZEL MAIN ID Applicant First Name Last Name Melissa Moore Number Street Apartment or Suite Number PO BOX 1660 City State Zip Milton WA 98354 Contractor Company Name Artco Sign Co Inc Number Street PO BOX 1660 City Milton State License Number ARTCOSC164D6 Project Location Number Street 23400 HIGHWAY 99 City EDMONDS Associated Building Permit Number State Zip WA 98354 License Expiration Date 4/28/2023 MyBuildingPermit.com Company Name Artco Siqn Co Inc E-mail Address sales(c�artcosigns.com Phone Number Extension 2066225262 Apartment or Suite Number Phone Number Extension (206) 622-5262 UBI # E-mail Address 600152570 sales(c_artcosigns.com Zip Code County Parcel Number 98026 00576700002002 Tenant Name HAZEL Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name GRE EDMONDS LLC Number Street Apartment or Suite Number 10 INVERNESS DR E 250 City State Zip ENGLEWOOD CO 80112 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 3/30/2022 Submitted By: Melissa Moore Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1116217 - HAZEL MAIN ID Project Contact Company Name: Artco Sign Co Inc Name: Melissa Moore Email: sales@artcosigns.com Address: PO BOX 1660 Phone #: 2066225262 Milton WA 98354 Project Type Nonresidential Activity Type Permanent Sign Project Name: HAZEL MAIN ID Description of Work: 2- illuminated wall mounted signs Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 2 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2